Study index: 96-6 Vendor Picker Modality MR Examination MRI: L-spine History Low back and bilateral hip pain which goes down into the right hip. Findings There is a decrease in the usual lumbar lordosis with advanced degenerative change of the endplates at L4-5. This has an active appearance suggesting an active degenerative process of the disc at this level. There is narrowing and desiccation of the disc with bulging of the annulus. This extends to and slightly narrows the neuroforamina bilaterally, although I do not see a disc herniation. The remainder of the disc spaces are normal. The conus medullaris terminates normally at T 12. There are no abnormal masses in the pre or perivertebral regions. Degenerative disc at L4-5 with reactive degenerative change in the adjacent end-plates. Bulging of the annulus gives mild compromise of the neuroforamina bilaterally at this level.